Individual
MARY T DUNLEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
334 MAIN ST, STE 1, DICKSON CITY, PA 18519-1620
(570) 307-1767
(570) 307-1770
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA000779L
PA
Other
Enumeration date
06/27/2006
Last updated
05/03/2022
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